Organization · Type 2 NPI
Tracy Outpatient Surgery Center
Endoscopy Clinic/Center · Tracy, CA
NPI number
1720044605
Active
Practice location
530 W Eaton Ave Ste P
Tracy, CA 95376
Fax (209) 835-3246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA030001797 (CA) |
| Endoscopy Clinic/Center Primary | 261QE0800X | CA030001797 (CA) |
Endoscopy Clinic/Center: Definition to come...
About NPI 1720044605
Tracy Outpatient Surgery Center's National Provider Identifier is 1720044605, issued on Apr 21, 2006. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Tracy, CA. The record was last updated on Oct 5, 2010.